Yintoni iParacentesis kwaye yenzelwe ntoni

Umxholo

• Yenzelwe ntoni
• Kwenziwa njani
• Iingxaki ezinokwenzeka

IParacentesis yinkqubo yonyango equka ukukhupha ulwelo emzimbeni womntu. Ihlala yenziwa xa kukho i-ascites, ekufumba kolwelo esiswini, okubangelwa zizifo ezinje ngokuqina kwesibindi, umhlaza okanye isifo esiswini, umzekelo. Qonda ukuba yintoni i-ascites kunye nezifo ezibangelwa yiyo.

Yenziwa ngezi njongo zilandelayo:

• Uxilongo paracentesis: yenzelwe ukuqokelela isixa esincinci samanzi esiya kuhlaziywa elabhoratri ukuchonga unobangela we-ascites okanye ukujonga utshintsho olufana nosulelo okanye iiseli zomhlaza, umzekelo;
• Unyango lweparacentesis: ibizwa ngokuba sisiqabu separacentesis, njengoko isusa isixa esikhulu samanzi. Ihlala iboniswa xa unyango lwee-ascites lungasebenzi, lubangela ukufumba kolwelo olunamandla olubangela ukungonwabi kwaye, kwezinye iimeko, lunokuthintela ukuphefumla.

I-Paracentesis idla ngokwenziwa esibhedlele okanye kwisibhedlele esinganyangekiyo, ngugqirha okhohlakeleyo okanye kwi-gastroenterologist, kwaye ukuze kwenziwe inkqubo kufuneka isigulana silele kwi-stretcher, apho kucocwa kunye ne-anesthesia yenzelwa kwindawo yokuhlatywa, emva koko inaliti ekhethekileyo kufuneka mayifakwe ukuvumela ukuba ulwelo luphume.

Yenzelwe ntoni

I-Paracentesis ihlala ibonakalisiwe ukususwa kolwelo kwisisu esiswini. Ngokwesiqhelo, isisu siqulathe kuphela isixa esincinci samanzi asimahla, nangona kunjalo, ezinye iimeko zinokubangela ukonyuka okungaqhelekanga kule mali, imeko ekuthiwa yi-ascites okanye, ngokuthandwayo, phantsi kwamanzi.

Oyena nobangela uphambili we-ascites kukuqina kwesibindi, okubangelwa ziimeko ezininzi, ezinje ngesifo sesibindi esinganyangekiyo, utywala, izifo ezizimeleyo okanye izifo zofuzo, umzekelo. Jonga ukuba zeziphi ezona zinto zibangela isifo sokuqina.

Ezinye iimeko ezinokubangela ukuba i-ascites ibe ngamathumba okanye isisu esiswini, ukungaphumeleli kwentliziyo, ukutshintsha kwezintso, okanye isifo esiswini, esibangelwa sisifo sephepha, i-schistosomiasis, ifungi kunye neebhaktheriya.

Kwenziwa njani

I-Paracentesis yenziwa ngugqirha, kwaye inkqubo ibandakanya la manyathelo alandelayo:

1. Isigulana kufuneka silele kamnandi kwi-stretcher;
2. I-Asepsis kunye ne-antisepsis yenziwa kummandla oza kugqobhoza, kwaye ugqirha kufuneka anxibe izinto ezifanayo ukunqanda ungcoliseko olufana neiglavu, ifaskoti, umnqwazi kunye nemaski;
3. Ukwenza i-anesthesia yendawo apho inaliti iya kufakwa khona, ihlala kwindawo esezantsi ngasekhohlo, phakathi kwendawo yenkaba kunye ne-iliac crest, okanye njengoko ikhokelwa luvavanyo lwe-ultrasound;
4. Ukuhlatywa kwenziwa ngokungafaniyo kulusu, ngenaliti eshinyeneyo yokulinganisa, ekhethekileyo yenkqubo;
5. Ulwelo oluqokelelwe kwisirinji, olunokuhlalutywa elebhu;
6. Ukuba kunyanzelekile ukuba kususwe isixa esikhulu se-ascitic fluid, ugqirha unokuncamathisela inaliti kwi-serum eqhotyoshelwe kwibhotile ebekwe kwinqanaba elisezantsi kunelomguli, ukuze ulwelo lukwazi ukukhutshwa, luhambe ngokwendalo.

Ukongeza, xa inani lolwelo elichithwayo lingaphezulu kweelitha ezi-4, kuyacetyiswa ukuba kusetyenziswe i-albinum yomntu emthanjeni, ngexesha okanye kungekudala emva kwenkqubo, kwidosi ye-6 ukuya kwi-10 yeegram zealbumin ilitha nganye isusiwe. Eli yeza libalulekile ukuze ulwelo olungaphezulu lususwe alubangeli ukungalingani phakathi kolwelo lwesisu kunye nolwelo lwegazi.

Iingxaki ezinokwenzeka

Nangona i-paracentesis ihlala iyinkqubo ekhuselekileyo, ezinye iingxaki zinokuvela, njengokugqabhuka kwelungu elithile lesisu, ukopha okanye usulelo lwe-ascitic fluid okanye eludongeni lwesisu.